Perforated duodenal diverticulitis: A report of three cases

George Miller, Claudia Mueller, Duke Yim, Michael Macari, Howard Liang, Stuart Marcus, Peter Shamamian

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Background: Duodenal diverticuli are present in up to 22% of the population. However, perforation of a duodenal diverticulum with spillage of enteric contents into the retroperitoneum is rare. Methods: We report three cases of perforated duodenal diverticulitis. Results: Clinical presentations varied widely from patients with acute abdominal findings and generalized sepsis to a patient with mild symptoms of abdominal discomfort. CT scanning was the imaging modality used to make an accurate diagnosis. Treatment approaches for the most stable patient included nonoperative management with antibiotics, bowel rest and parenteral alimentation, while the less stable patients underwent definitive surgery with complete diversion of gastric contents and biliary flow from the affected area of duodenum. Conclusions: This report highlights the salient issues in the presentation, diagnosis and modern management of patients with this potentially catastrophic disease.

Original languageEnglish (US)
Pages (from-to)198-202
Number of pages5
JournalDigestive Surgery
Volume22
Issue number3
DOIs
StatePublished - Sep 28 2005
Externally publishedYes

Keywords

  • Duodenal diverticuli
  • Perforation
  • Pyloric exclusion

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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    Miller, G., Mueller, C., Yim, D., Macari, M., Liang, H., Marcus, S., & Shamamian, P. (2005). Perforated duodenal diverticulitis: A report of three cases. Digestive Surgery, 22(3), 198-202. https://doi.org/10.1159/000087974